MEDICARE: JANETTE CRANE APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	26NN04674900	NJ

General Provider Information

NPI Number	:	1386087898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANETTE CRANE APN

Provider Business Mailing Address
First Line	:	6529 BLACK HORSE PIKE
Second Line	:
City	:	EGG HARBOR TWP
State	:	NJ
Zip	:	08234-4509
Country	:	US
Telephone Number	:	609-645-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	6529 BLACK HORSE PIKE
Second Line	:
City	:	EGG HARBOR TWP
State	:	NJ
Zip	:	08234-4509
Country	:	US
Telephone Number	:	609-645-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2013
Last Update Date	:	04/15/2013

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